Emergency decompression of rare tension hydrothorax with obstructive shock: a case series.
Publication/Presentation Date
12-29-2025
Abstract
INTRODUCTION: Tension hydrothorax is a life-threatening condition caused by a massive buildup of fluid in the pleural space, compressing the mediastinum and compromising cardiac output. It causes obstructive shock and can lead to cardiac arrest. Early detection and rapid intervention are essential to prevent cardiorespiratory collapse.
CASE SERIES: This is a case series of three patients who presented with a tension hydrothorax and signs of hemodynamic instability. Initial imaging showed a complete white-out of the chest with a mediastinal shift, which required an emergent chest tube thoracostomy.
CONCLUSION: Although decompressive interventions are common, courses and awareness can minimize potential complications when managing emergency conditions such as tension hydrothorax, which remains a medical challenge.
Volume
20
Issue
1
First Page
472
Last Page
472
ISSN
1749-8090
Published In/Presented At
George, N., Dromgoole, D., Kraft, B., & Kravitz, J. (2025). Emergency decompression of rare tension hydrothorax with obstructive shock: a case series. Journal of cardiothoracic surgery, 20(1), 472. https://doi.org/10.1186/s13019-025-03677-3
Disciplines
Medicine and Health Sciences
PubMedID
41462302
Department(s)
Department of Emergency Medicine
Document Type
Article